<div class="gmail_quote" style="text-align:start; -webkit-text-stroke-width:0px"><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><b><font color="#000000">HAVUZ VE DENİZ SONRASI ARTAN TEHLİKE: KOLESTEATOM</font></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div class="gmail_quote" style="text-align:start; -webkit-text-stroke-width:0px"> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);"><b style="font-size:13px; font-family:verdana, sans-serif"><span style="text-align:center">Kulak Burun Boğaz Hastalıkları Uzmanı </span></b><b>Doç. Dr. Yavuz Selim Yıldırım, </b>Kulak enfeksiyonları içerisinde en tehlikeli olanın ''Kolesteatom'' olduğunu belirtti. Kulak enfeksiyonlarından sonra kulak zarı epitelinin büyümeye devam ederek çevresindeki yapıları eritmesi sonucu ortaya çıktığını ve ciddi sağlık sorunları ile karşılaşılabileceğini söyledi. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);"><b>Kolesteatom nasıl oluşur</b> ?</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">En sık oluşma şekli geçirilen kulak zarı ve/veya orta kulak iltihabı sonucu kulak zarının çökmesi ve içeriye doğru büyümeye devam ederek işitmeyi sağlayan kemikçikleri eritmesi ve kötü kokulu kulak akıntısı ile kendini gösterir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Orta kulağı buruna bağlayan östaki borusu‘nun tam çalışmaması sonucu orta kulakta negatif basınç oluşur, bu basınca bağlı kulak zarı’nda çökme meydana gelir havuz ve deniz sonrası çökme yerlerinde enfeksiyon oluşmasına bağlı müzmin bir orta kulak iltihabî ortaya çıkar. Cepleşme oluşan bu çökmeler de meydana gelen enfeksiyonlar tedavi koleste hatun çoğunlukla edilmediği takdirde Kolesteatom kaçınılmaz son oluyor.Bir miktar ihmal ve geç kalma söz konusu olursa ciddi sağlık sorunları ve geri dönüşü mümkün olmayan zararlar verebilir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Kolesteatom nadiren de olsa doğuştan da meydana gelebilir. Bu tür durumlar sağlık taramalarında veya çocuğun işitme kaybı şikayeti olursa ortaya konulup tedavi edilebilir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Sık geçirilen geçirilen orta kulak iltihapları ve tekrarlayan kulak iltihapları mutlaka uzman tarafından takip edilmelidir.Kolesteatom çoğunlukla deneyimli bir KBB uzmanı tarafından muayene esnasında tanınabilir. Bu yıkıcı ve harap edici enfeksiyon çevre dokularda herşeyi harap edebilir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);"><b>Kolesteatom Nasıl Tedavi Edilir ?</b> </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br /> </div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Doç. Dr. Yavuz Selim Yıldırım, </font></font><span style="color:#000000">Kolesteatom</span><font color="#000000"><font style="background-color: rgb(255, 255, 255);">’un tek tedavisi ameliyattır.Tanı konur konmaz hemen ameliyat edilmelidir. Kolesteatom ilaç-Işın ve kemoterapi ile tedavi edilmez diye özellikle vurguladı. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Tanısı deneyimli Kulak Burun Boğaz Uzmanı tarafından konur, tanı koymak için patolojiye ihtiyaç duyulmaz ancak ince kesitli kulak tomografi genellikle çekilmelidir. Kolesteatom un takibinden Özel bir MRI tekniği olan Diffüzyon MR ile yenileyip yenilemediği takip edilebilir. Tedavisi Kulak içinden Endokopik yöntemler ile tamamen temizlenebilir, ancak kulak arkası hücrelerine yayılmış ise kulak arkasından kesi yapılarak mikroskobik bakı altında yine total olarak temizlenir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Erken tanı ve Erken tedavi çok çok önemlidir.</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><b><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Kolesteatom Tedavi Edilmezse Ne Olur ?</font></font></b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Kolesteatom bir tümör gibi davranır, karşılaştığı tüm yapılara zarar verir, çekiç örs ve üzengi gibi işitmeyi sağlayan kemikleri eriterek işitme kaybına, </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Denge organı yapılarını bozarak denge kaybına,</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Yüz sinirini sararak yüz felcine, </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Beyin zarına ulaşarak beyin zarı iltihabına (menenjit)</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Beyin toplardamar tıkanıklığına, beyin Apsesine, </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Kalıcı işitme ve denge kayıplarına neden olabilir.Bu riskler Kolesteatom'un büyüdüğü yere yakın hangi doku varsa orada hasar oluşarak ortaya çıkabilir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);"><b>Kolesteatom'dan Korunma İçin Ne Yapmak Gerekir</b>?</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <br> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Doç. Dr. Yavuz Selim Yıldırım, nelere dikkat edilmesi gerektiğini şöyle belirtti; </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Tekrarlayan kulak iltihaplanması olan kişiler bir uzman tarafından takip edilmelidir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Uzun süren pis kokulu kulak akıntıları ciddi şekilde takip edilmelidir </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Havuz ve deniz sonrası devam eden kulak akıntıları ihmal edilmemelidir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Kulak zarı delik olanların uzman kontrolünde olması gerekir</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><span style="font-size:small"><span style="color:#222222"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-weight:400"><span style="letter-spacing:normal"><span style="orphans:2"><span style="text-transform:none"><span style="white-space:normal"><span style="widows:2"><span style="word-spacing:0px"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font color="#000000"><font style="background-color: rgb(255, 255, 255);">Kulak akıntıları ihmal edilmemeli ve tedavi edilmelidir. </font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div> <div><img class="detayFoto" src="https://www.sondakika-24.com/images/upload/Screenshot_6_5.png" /></div> </div> </div>